Provider Demographics
NPI:1447058391
Name:AHMED, HAYKAL ABDIWALI
Entity type:Individual
Prefix:MR
First Name:HAYKAL
Middle Name:ABDIWALI
Last Name:AHMED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9416 3RD AVE S # 9416
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-4413
Mailing Address - Country:US
Mailing Address - Phone:952-465-4121
Mailing Address - Fax:
Practice Address - Street 1:9416 3RD AVE S # 9416
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-4413
Practice Address - Country:US
Practice Address - Phone:952-465-4121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter